Southern Restaurants (Vic) Pty Ltd

Level 1, 278 Ferntree Gully Road

Notting Hill VIC 3168

PARENT/GUARIDAN CONSENT

Consent is required for all potential new employees under the age of 18, prior to
commencing employment.

I (full name) parent/guardian

of

Acknowledge and consent to (please tick to acknowledge):

My child commencing employment with the restaurant at which they applied;

The terms and conditions of the proposed employment and agree to my child being employed in
accordance with the information provided;
The availability my child provided during the application & recruitment process;
Any amendments to my child’s availability, made by my child through Employee Self Service, should
it be required;

My child has access to safe transport to and from work during the availability provided.

Please tick all methods of approved safe transport the employee will have access to during the

availability provided.

 Parents/Guardian/designated person pickup  Personal Vehicle (car, motorcycle etc.)

 Public Transport (train, bus, light rail etc.)  Foot (walk, bike, scooter, skateboard etc.)

 ALL OF THE ABOVE  Other:

Name:

Signed:

Date:

Consent Form age 15-18 March 2021